ArticleJMIR aging2019
Care Team Perspectives and Acceptance of Telehealth in Scaling a Home-Based Primary Care Program: Qualitative Study.
Article in JMIR aging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Acceptance of telemedicine among care personnel in inpatient and outpatient elderly care: a systematic review.BMC geriatrics · 2025Pooled it
- First the relationship, then the technology: Healthcare professionals' perceptions on how digital health solutions impact the interaction with patients.PEC innovation · 2026Article
- Article
- Digital chat-based care assessments in primary healthcare: nurses' work experiences and training needs.Scandinavian journal of primary health care · 2025Article
- Viewpoints of Healthcare Professionals on Care Delivery Within the Frames of Old-Age Mental Telehealth Services Operating in Low-Resource Settings.Brain sciences · 2025Article
- The impact of eHealth on relationships and trust in primary care: a review of reviews.BMC primary care · 2023Review
- Profiles of physician motivation towards using virtual care: differences in workplace need fulfillment.BMC health services research · 2023Article
- Factors That Influence the Use of eHealth in Home Care: Scoping Review and Cross-sectional Survey.Journal of medical Internet research · 2023Article
- Determinants of Telehealth Continuance Intention: A Multi-Perspective Framework.Healthcare (Basel, Switzerland) · 2022Article
- "There Is Something Very Personal About Seeing Someone's Face": Provider Perceptions of Video Visits in Home-Based Primary Care During COVID-19.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2021Article
- Toward improved homecare of frail older adults: A focus group study synthesizing patient and caregiver perspectives.Aging medicine (Milton (N.S.W)) · 2021Article
- System-Wide Accelerated Implementation of Telemedicine in Response to COVID-19: Mixed Methods Evaluation.Journal of medical Internet research · 2020Article
- Family Physician Motivation and Well-Being in the Digital Era.Annals of family medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNovel and sustainable approaches to optimizing home-based primary care (HBPC) programs are needed to meet the medical needs of a growing number of homebound older adults in the United States. Telehealth may be a viable option for scaling HBPC programs.
objectiveThe purpose of this qualitative study was to gain insight into the perspectives of HBPC staff regarding adopting telehealth technology to increase the reach of HBPC to more homebound patients.
methodsWe collected qualitative data from HBPC staff (ie, physicians, registered nurses, nurse practitioners, care managers, social workers, and medical coordinators) at a practice in the New York metropolitan area through 16 semistructured interviews and three focus groups. Data were analyzed thematically using the template analysis approach with Self-Determination Theory concepts (ie, relatedness, competence, and autonomy) as an analytical lens.
resultsFour broad themes-pros and cons of scaling, technology impact on staff autonomy, technology impact on competence in providing care, and technology impact on the patient-caregiver-provider relationship-and multiple second-level themes emerged from the analysis. Staff acknowledged the need to scale the program without diminishing effective patient-centered care. Participants perceived alerts generated from patients and caregivers using telehealth as potentially increasing burden and necessitating a rapid response from an already busy staff while increasing ambiguity. However, they also noted that telehealth could increase efficiency and enable more informed care provision. Telehealth could enhance the patient-provider relationship by enabling caregivers to be an integral part of the patient's care team. Staff members raised the concern that patients or caregivers might unnecessarily overutilize the technology, and that some home visits are more appropriate in person rather than via telehealth.
conclusionsThese findings suggest the importance of considering the perspectives of medical professionals regarding telehealth adoption. A proactive approach exploring the benefits and concerns professionals perceive in the adoption of health technology within the HBPC program will hopefully facilitate the optimal integration of telehealth innovations.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.